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Present and Near Future Pandemic Situations Look Bleak

High Uptake Of Mask Wearing Could Still Save Thousands Of Lives In The US And Change Course Of The Pandemic Worldwide

The picture of the COVID-19 pandemic in the United States which emerges from the combined forecast of two dozen modelling groups predicts there will likely be between 150,000 to 170,000 total reported deaths by August 8, 2020, according to CDC which aggregates these reports. As of mid-July the actual number of deaths stood at 138,782.

Cases continue to rise in the US with over 70,000 cases being reported each day in mid-July and the US cases still have not peaked.

Graphs By The New York Times            Updated July 20, 2020, 1:59 P.M.  E.T.

 

No Peak Yet

More distressing are US the predictions released by the Institute for Health Metrics and Evaluation (IMHE) which projects 224,546 deaths by November 1, 2020. This projected number has increased by more than 15,000 deaths just in the last few days. According to IMHE Director Christopher Murray, “ The US didn’t experience a true end to the first wave of the pandemic…This will not spare us from a second surge in the fall which will hit particularly hard in states currently seeing high levels of infection.”

The recent upswing in the US has been experienced in young people who have a lower risk of death. An assumption being made is that the current surge of infections does not spread more widely to groups that are at higher risk of death. On the other hand, it is possible that additional advances in treatment such as those that have already occurred (e.g., remdesivir, proning, dexamethasone) could produce a downward shift in the number of overall deaths. No one expects a vaccine to be available and widely used within this timeframe.

Positive Side

On the positive side, the IMHE estimates that if strong social distancing mandates are reimposed when deaths per day reach a level of 8 per million (a higher rate than was occurring when mandates were imposed initially because modellers assume reimposition will be more difficult to achieve a second time), and if at least 95% of the population wears masks in public places, then the US could cut the November projection by  an estimated 41,304 lives. That amounts to saving approximately 400 lives each day between now and then. IMHE states “those who refuse masks are putting their lives, their families, their friends, and their communities at risk.”

World Impact

The effectiveness of mask wearing can reduce respiratory infections by 33% and slow community spread and the IMHE estimates that increasing mask use could lead to greater than 50% reductions in the number of deaths in many locations around the world. It could change the course of the pandemic, according to IMHE.

State Impacts

The estimated deaths by Novermber 1 in the US have been calculated separately by state. Some of these states such as New York have already experienced the bulk of their projected deaths with only slight increases anticipated between now and November.

Other states such as Florida and Texas have experienced a much smaller percentage of their projected deaths.

For example, as of July 19, 2020, Florida has had an estimated 4,894 deaths out of a projected 19,284 by November 1 which is only 25% of projected deaths. Likewise Texas with 3,929 deaths to date and with 18,675 projected has only experienced 21% of their projected deaths.

California has had an estimated 8,000 deaths out of a projected 21,264 or 38%. South Carolina is in a similar situation having had only a quarter of its projected deaths, albeit with smaller absolute numbers. These states have the most to gain in lives saved by adopting universal masking with thousands of lives at stake in the largest states. Even in South Carolina, an estimated 2,450 of the 3,437 projected deaths yet to occur or 71% could be prevented by near universal masking.

To view the latest projections visit:   https://bit.ly/39fdIZ2  ■

 


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